CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Munson Healthcare Cadillac Hospital

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $177
  • Cash Discount Price: $228
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Munson Healthcare Cadillac Hospital is $177. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $228. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.98x the Medicare baseline. Located in 400 Hobart St, Cadillac, MI.
Cash / Self-Pay
$228

Average discount available for prompt cash payment at this facility.

Insurance Median
$177

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)
Cash / Self-Pay: $228 (126%)
Insurance Median: $177 (98%)
Cash: $228 (126% of Medicare)
Ins. Median: $177 (98% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Mclaren Health Plan $60 - $179 33%
Meridian $60 - $92 33%
Molina $60 - $191 33%
Priority Health $60 - $227 33%
UnitedHealthcare $60 - $177 33%
Blue Cross Blue Shield $61 - $124 34%
American Health Associates $91 - $177 50%
Autumnwood Of Mcbain Skilled Nursing $91 - $177 50%
Blue Care Network $91 - $177 50%
Hap (Health Alliance Plan) $91 - $400 50%
Humana $91 - $177 50%
Medicare (plans) $91 - $177 50%
Michigan Amish Medical Board $91 - $177 50%
Promedica $91 - $177 50%
Samaritas Senior Living Skilled Nursing $91 - $177 50%
Wellcare (Meridian) $91 - $177 50%
Aetna $111 - $217 61%
Cofinity $111 - $222 61%
Cigna $117 - $227 65%
Provider Network Of America Group Health $128 - $242 71%
Asr/Physicians Care $137 - $400 76%
Hospice Of Michigan $151 - $171 83%
Employee Benefits Logistics $155 - $301 85%
Munson Hospice $176 - $852 97%
Enterprise Group Planning/Employee Benefit Plan $201 - $228 111%
Medical Cost Savings Solution $201 - $228 111%
Nomi Health $201 - $228 111%
Robbing Group And Regency Employee Benefits $201 - $228 111%
First Health/Coventry Network $213 - $242 117%
Three Rivers Provider Network $213 - $242 117%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 Hobart St, Cadillac, MI 49601
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals